| Cornell Scott Hill Health Corporation | |
|
400-428 Columbus Avenue New Haven CT 06519-1233 | |
| (203) 503-3000 | |
| (203) 503-3224 |
| Full Name | Cornell Scott Hill Health Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 400-428 Columbus Avenue, New Haven, Connecticut |
| Authorized Official Name and Position | Sol Maria Gonzalez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2035033174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornell Scott Hill Health Corporation 400 Columbus Avenue Credentialing Specialist New Haven CT 06519-1223 Ph: (203) 503-3174 | Cornell Scott Hill Health Corporation 400-428 Columbus Avenue New Haven CT 06519-1233 Ph: (203) 503-3000 |
| NPI Number | 1902921380 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 07/21/2022 |
| Certification Date | 10/28/2020 |
| Medicare PECOS PAC ID | 3072418359 |
|---|---|
| Medicare Enrollment ID | O20031201000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902921380 | NPI | - | NPPES |
| 004235900 | Medicaid | CT | |
| 007228749 | Medicaid | CT | |
| 004011813 | Medicaid | CT | |
| 004235893 | Medicaid | CT | |
| 004235918 | Medicaid | CT |
| Provider Name | Janet B Henrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679556807 PECOS PAC ID: 7214839737 Enrollment ID: I20040124000215 |
| Provider Name | Francis P Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396852877 PECOS PAC ID: 8426951047 Enrollment ID: I20040130000580 |
| Provider Name | Evan Vosburgh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518955517 PECOS PAC ID: 8022008895 Enrollment ID: I20040513001297 |
| Provider Name | Robert T Sadock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093798209 PECOS PAC ID: 2264413616 Enrollment ID: I20040601000400 |
| Provider Name | Christopher J Morren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811994957 PECOS PAC ID: 4385615418 Enrollment ID: I20040803000996 |
| Provider Name | Daena M Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285790436 PECOS PAC ID: 0042273690 Enrollment ID: I20041105000040 |
| Provider Name | Jeanette M Tetrault |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003841321 PECOS PAC ID: 5294714507 Enrollment ID: I20041123000765 |
| Provider Name | Robert L Mcnamara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033119524 PECOS PAC ID: 0749231173 Enrollment ID: I20050203000020 |
| Provider Name | Dorothea Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699729475 PECOS PAC ID: 3173565306 Enrollment ID: I20050526000778 |
| Provider Name | Daniel S Kellner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730106279 PECOS PAC ID: 1759326358 Enrollment ID: I20050623000877 |
| Provider Name | Alice G Papsun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427047208 PECOS PAC ID: 1254368103 Enrollment ID: I20050721000729 |
| Provider Name | Lisa Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669446951 PECOS PAC ID: 7315975521 Enrollment ID: I20050729000265 |
| Provider Name | Donna M Windish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578537114 PECOS PAC ID: 0648208249 Enrollment ID: I20050803000547 |
| Provider Name | Ece Tek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831312552 PECOS PAC ID: 4385678242 Enrollment ID: I20050921000329 |
| Provider Name | Thomas V Martin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003842865 PECOS PAC ID: 4688699390 Enrollment ID: I20051012000205 |
| Provider Name | Jeffery L Pellenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285640284 PECOS PAC ID: 1052330008 Enrollment ID: I20051118000250 |
| Provider Name | Inginia Genao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417938291 PECOS PAC ID: 5890714711 Enrollment ID: I20051121000054 |
| Provider Name | Stephen J Huot |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275518771 PECOS PAC ID: 8325068976 Enrollment ID: I20051129000271 |
| Provider Name | Susan N Ortoleva |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720162761 PECOS PAC ID: 9931120458 Enrollment ID: I20051213000299 |
| Provider Name | Vanessa Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992878896 PECOS PAC ID: 4183647852 Enrollment ID: I20060109000470 |
| Provider Name | Vicki K Kritsovas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821023433 PECOS PAC ID: 4082649959 Enrollment ID: I20060111000602 |
| Provider Name | Pinar Oray Schrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053310292 PECOS PAC ID: 3173530516 Enrollment ID: I20060309000710 |
| Provider Name | Christine Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134189707 PECOS PAC ID: 9739197708 Enrollment ID: I20060403000233 |
| Provider Name | Stephen A Atlas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871527333 PECOS PAC ID: 5698779031 Enrollment ID: I20060828000144 |
| Provider Name | Amenuve M Bekui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851339949 PECOS PAC ID: 0345244166 Enrollment ID: I20060911000344 |
| Provider Name | Daniel G Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942283171 PECOS PAC ID: 7315943370 Enrollment ID: I20061013000522 |
| Provider Name | Kalman Lewis Watsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649298142 PECOS PAC ID: 6103823547 Enrollment ID: I20061027000431 |
| Provider Name | Geraldine Marie Faherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659312478 PECOS PAC ID: 4284527029 Enrollment ID: I20070104000173 |
| Provider Name | Carol Lambie-parise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265593313 PECOS PAC ID: 9234131269 Enrollment ID: I20070205000433 |
| Provider Name | Mary M Tomayko |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467491548 PECOS PAC ID: 1456454784 Enrollment ID: I20070307000237 |
| Provider Name | Richard B Feldman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881693513 PECOS PAC ID: 0446353049 Enrollment ID: I20070320000663 |
| Provider Name | Stephen R Holt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407984180 PECOS PAC ID: 2264530799 Enrollment ID: I20070607000318 |
| Provider Name | Karen Pawelek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568408433 PECOS PAC ID: 6608879556 Enrollment ID: I20070613000140 |
| Provider Name | Catherine Morneault |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528124278 PECOS PAC ID: 4082713730 Enrollment ID: I20070621000457 |
| Provider Name | Pearl I Sargeant-warzecha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619174497 PECOS PAC ID: 6901991777 Enrollment ID: I20071009000500 |
| Provider Name | John Patrick Moriarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538278726 PECOS PAC ID: 9436247590 Enrollment ID: I20071127000128 |
| Provider Name | Michelle L Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891836110 PECOS PAC ID: 8123114493 Enrollment ID: I20080505000161 |
| Provider Name | Keith A Choate |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609058080 PECOS PAC ID: 4183796394 Enrollment ID: I20080703000313 |
| Provider Name | Leonard H Zamore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417980590 PECOS PAC ID: 3678632098 Enrollment ID: I20081030000162 |
| Provider Name | Leah Lucarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982853263 PECOS PAC ID: 5890854376 Enrollment ID: I20081113000132 |
| Provider Name | Margaret J Bia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114901980 PECOS PAC ID: 0042370074 Enrollment ID: I20081120000895 |
| Provider Name | Angela M Nardecchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992951842 PECOS PAC ID: 2567522295 Enrollment ID: I20081125000379 |
| Provider Name | Mentrel Young |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447405915 PECOS PAC ID: 5698838167 Enrollment ID: I20090109000005 |
| Provider Name | Emily Ai Hua Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548483902 PECOS PAC ID: 3779630041 Enrollment ID: I20090403000007 |
| Provider Name | Aniyizhai Annamalai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871714188 PECOS PAC ID: 8123175841 Enrollment ID: I20090416000100 |
| Provider Name | David A Fiellin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194700666 PECOS PAC ID: 6103979398 Enrollment ID: I20090805000716 |
| Provider Name | Veronica N Egbunike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750532834 PECOS PAC ID: 7113071424 Enrollment ID: I20090821000089 |
| Provider Name | Martin Stransky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154357911 PECOS PAC ID: 5597810473 Enrollment ID: I20090827000824 |
| Provider Name | Ralph F Stroup |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548285133 PECOS PAC ID: 8022052588 Enrollment ID: I20091102000362 |
| Provider Name | Auguste H Fortin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386618692 PECOS PAC ID: 7315089752 Enrollment ID: I20100122000221 |
| Provider Name | Gretchen Kimberly Berland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417974221 PECOS PAC ID: 4385787191 Enrollment ID: I20100202000509 |
| Provider Name | Katherine C Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366425423 PECOS PAC ID: 3072656222 Enrollment ID: I20100210000280 |
| Provider Name | Andre N Sofair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811961386 PECOS PAC ID: 6204979321 Enrollment ID: I20100211000211 |
| Provider Name | Leo Mathias Cooney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992787287 PECOS PAC ID: 1557263282 Enrollment ID: I20100212000550 |
| Provider Name | Patrick Gerard Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689657819 PECOS PAC ID: 7416082631 Enrollment ID: I20100312000808 |
| Provider Name | Walter N Kernan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710960935 PECOS PAC ID: 1850426214 Enrollment ID: I20100324000380 |
| Provider Name | Cary P Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760465991 PECOS PAC ID: 6002945748 Enrollment ID: I20100519000011 |
| Provider Name | Jeremy I Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104000397 PECOS PAC ID: 3678606068 Enrollment ID: I20100805000658 |
| Provider Name | Kristen R Becker-talwalkar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699751099 PECOS PAC ID: 9133253172 Enrollment ID: I20100812001037 |
| Provider Name | Ernest A Topran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710911722 PECOS PAC ID: 1052302049 Enrollment ID: I20100820000428 |
| Provider Name | Tracy Lyn Rabin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588848766 PECOS PAC ID: 2466577283 Enrollment ID: I20100917000098 |
| Provider Name | Meredith H Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336114974 PECOS PAC ID: 5092907154 Enrollment ID: I20101007000328 |
| Provider Name | Paul K Clarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548292279 PECOS PAC ID: 0143412197 Enrollment ID: I20101008000166 |
| Provider Name | Benjamin M Metcalf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407040959 PECOS PAC ID: 6103019682 Enrollment ID: I20101015000846 |
| Provider Name | Lior Haim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518013358 PECOS PAC ID: 2769534353 Enrollment ID: I20101019000451 |
| Provider Name | Amerisa Tarabar |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1922280916 PECOS PAC ID: 0840484044 Enrollment ID: I20101102000244 |
| Provider Name | Annette B Muller-schwarze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740501113 PECOS PAC ID: 2860687399 Enrollment ID: I20101110000765 |
| Provider Name | Steven Schoenberger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477551034 PECOS PAC ID: 7911934971 Enrollment ID: I20101112000939 |
| Provider Name | Amanda M Sandrew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497878417 PECOS PAC ID: 0244429488 Enrollment ID: I20110104000914 |
| Provider Name | Joseph S Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467461335 PECOS PAC ID: 5597944165 Enrollment ID: I20110128000078 |
| Provider Name | Amanda S Lendler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356349997 PECOS PAC ID: 7416137732 Enrollment ID: I20110203000645 |
| Provider Name | James David Scarles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194710269 PECOS PAC ID: 8123214400 Enrollment ID: I20110215000153 |
| Provider Name | Lloyd R Saberski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821000613 PECOS PAC ID: 5698742104 Enrollment ID: I20110303000538 |
| Provider Name | Thomas M Buckley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558388090 PECOS PAC ID: 6103860663 Enrollment ID: I20110420000032 |
| Provider Name | Abhay M Dhond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669424669 PECOS PAC ID: 4385776541 Enrollment ID: I20110422000388 |
| Provider Name | Susannah Bernheim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689789224 PECOS PAC ID: 8426233883 Enrollment ID: I20110428000264 |
| Provider Name | Thanh Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245537489 PECOS PAC ID: 5698950756 Enrollment ID: I20110505000167 |
| Provider Name | Joseph Hsieh Donroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790956803 PECOS PAC ID: 5395921969 Enrollment ID: I20110516000599 |
| Provider Name | Sarita E Soares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407029747 PECOS PAC ID: 9436335072 Enrollment ID: I20110517000344 |
| Provider Name | Stacey L Wyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437260858 PECOS PAC ID: 9133392814 Enrollment ID: I20111025000029 |
| Provider Name | Karen Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033341664 PECOS PAC ID: 6204009830 Enrollment ID: I20111027000101 |
| Provider Name | Jose Guillermo Bejarano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164729091 PECOS PAC ID: 6709059710 Enrollment ID: I20111107000515 |
| Provider Name | Joseph Emanuel Canterino |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447493960 PECOS PAC ID: 9537323779 Enrollment ID: I20120619000463 |
| Provider Name | Omar S Faridi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437358900 PECOS PAC ID: 3779753801 Enrollment ID: I20120627000686 |
| Provider Name | Lisa Puglisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518191667 PECOS PAC ID: 7315103298 Enrollment ID: I20120720000333 |
| Provider Name | Lenore M Buckley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932298098 PECOS PAC ID: 2567536873 Enrollment ID: I20120814000060 |
| Provider Name | Linda L Fan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467467324 PECOS PAC ID: 3072607571 Enrollment ID: I20130416000256 |
| Provider Name | Philip G Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700126729 PECOS PAC ID: 9234376823 Enrollment ID: I20130520000580 |
| Provider Name | Mark T Silvestri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831333947 PECOS PAC ID: 1658511571 Enrollment ID: I20130717000158 |
| Provider Name | Desreen Nichole Dudley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841635786 PECOS PAC ID: 6305088675 Enrollment ID: I20130815000709 |
| Provider Name | Jessica A Schonfeld |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790949774 PECOS PAC ID: 1951553460 Enrollment ID: I20130819000359 |
| Provider Name | Jeremy Moeller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942439740 PECOS PAC ID: 2860635059 Enrollment ID: I20130909000474 |
| Provider Name | Bradley Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477878700 PECOS PAC ID: 7810131828 Enrollment ID: I20130912000705 |
| Provider Name | Sangini S Sheth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306023171 PECOS PAC ID: 3072765494 Enrollment ID: I20131015000707 |
| Provider Name | Christopher J Bauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154614576 PECOS PAC ID: 8820224892 Enrollment ID: I20131121000649 |
| Provider Name | William M Krahe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619263464 PECOS PAC ID: 1052548617 Enrollment ID: I20131206000031 |
| Provider Name | Catherine A Lawlor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215379128 PECOS PAC ID: 0042440562 Enrollment ID: I20140303000680 |
| Provider Name | Xavier Llor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831250612 PECOS PAC ID: 1254333131 Enrollment ID: I20140328001577 |
| Provider Name | Augusta M Colodette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881828382 PECOS PAC ID: 8022240308 Enrollment ID: I20140421001358 |
| Provider Name | Tanilla Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851520712 PECOS PAC ID: 2860625977 Enrollment ID: I20140425000415 |
| Provider Name | Hilary E Fazzone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528059045 PECOS PAC ID: 7719917418 Enrollment ID: I20140508000697 |
| Provider Name | Shefali Ram Pathy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376682245 PECOS PAC ID: 3678796075 Enrollment ID: I20140603000271 |
| Provider Name | Christina C Moorer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285975722 PECOS PAC ID: 7719101641 Enrollment ID: I20140617000678 |
| Provider Name | Stephen A Falk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801922653 PECOS PAC ID: 4082839535 Enrollment ID: I20140626000107 |
| Provider Name | Jimena Tuis Elizalde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538472402 PECOS PAC ID: 3476778283 Enrollment ID: I20140711001431 |
| Provider Name | Isis I Burgos Chapman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275769549 PECOS PAC ID: 1254556905 Enrollment ID: I20140714000649 |
| Provider Name | Rachel Ramirez Klein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316263833 PECOS PAC ID: 4183842842 Enrollment ID: I20140822000311 |
| Provider Name | Amanda Elisabeth Zubek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477878262 PECOS PAC ID: 7416175005 Enrollment ID: I20140822001614 |
| Provider Name | Cecrystal Umeugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104225572 PECOS PAC ID: 2961622188 Enrollment ID: I20141009001652 |
| Provider Name | Anna Faria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861709669 PECOS PAC ID: 7214253863 Enrollment ID: I20150226000831 |
| Provider Name | Jennifer Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124411681 PECOS PAC ID: 5890014435 Enrollment ID: I20150504001992 |
| Provider Name | Esther Zahava Serkin-morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679847842 PECOS PAC ID: 9133449184 Enrollment ID: I20150514002818 |
| Provider Name | Frank Bia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144203357 PECOS PAC ID: 2163742941 Enrollment ID: I20150519000382 |
| Provider Name | David Dietrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922492974 PECOS PAC ID: 5597076570 Enrollment ID: I20150617001176 |
| Provider Name | Sauda E Bholat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831492081 PECOS PAC ID: 5193045177 Enrollment ID: I20150629002250 |
| Provider Name | Jessica L Schwarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518372333 PECOS PAC ID: 8123330990 Enrollment ID: I20150708000532 |
| Provider Name | Bevan Kurthy Hollingsworth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427304146 PECOS PAC ID: 8527374081 Enrollment ID: I20150828000124 |
| Provider Name | Amir Elmiselhy Masoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083878821 PECOS PAC ID: 1254502859 Enrollment ID: I20150904000375 |
| Provider Name | Anita Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407121759 PECOS PAC ID: 8224344270 Enrollment ID: I20150904002031 |
| Provider Name | Allison K Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184051526 PECOS PAC ID: 2163739905 Enrollment ID: I20150911000507 |
| Provider Name | Elizabeth Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659607042 PECOS PAC ID: 4981845633 Enrollment ID: I20150915000950 |
| Provider Name | Melissa A Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679959530 PECOS PAC ID: 1052629433 Enrollment ID: I20151005001855 |
| Provider Name | Levita Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255606554 PECOS PAC ID: 3375852650 Enrollment ID: I20151028000643 |
| Provider Name | Jason P Lott |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639303373 PECOS PAC ID: 9739489287 Enrollment ID: I20151204002034 |
| Provider Name | Jose Castiblanco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356654529 PECOS PAC ID: 8527361112 Enrollment ID: I20160114000475 |
| Provider Name | Anushka Saadat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922418128 PECOS PAC ID: 8820392715 Enrollment ID: I20160215000280 |
| Provider Name | Ann P Roselle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407056229 PECOS PAC ID: 9436327533 Enrollment ID: I20160413002254 |
| Provider Name | Ian Douglas Odell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457627531 PECOS PAC ID: 3375862675 Enrollment ID: I20160519001778 |
| Provider Name | Aba Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336584234 PECOS PAC ID: 6002137569 Enrollment ID: I20160525003264 |
| Provider Name | Benjamin Alderson Howell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922443951 PECOS PAC ID: 1951612191 Enrollment ID: I20160531000727 |
| Provider Name | Jonathan Leventhal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629338728 PECOS PAC ID: 1052630993 Enrollment ID: I20160607001647 |
| Provider Name | Meghan Lonergan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447405824 PECOS PAC ID: 7113218694 Enrollment ID: I20160614002275 |
| Provider Name | Katherine Gielissen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871868182 PECOS PAC ID: 0446557052 Enrollment ID: I20160707001408 |
| Provider Name | Gent L Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679920656 PECOS PAC ID: 7214221431 Enrollment ID: I20160811000942 |
| Provider Name | Lachelle Maureen Lazarus |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982056826 PECOS PAC ID: 2860788163 Enrollment ID: I20160913002108 |
| Provider Name | Damaris Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104157254 PECOS PAC ID: 4587950753 Enrollment ID: I20160914001991 |
| Provider Name | Naomie Legagneur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750680153 PECOS PAC ID: 3476782012 Enrollment ID: I20161027000186 |
| Provider Name | Erica Massimino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912399635 PECOS PAC ID: 7214216126 Enrollment ID: I20161117000597 |
| Provider Name | Ilana B Richman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588977649 PECOS PAC ID: 1557597010 Enrollment ID: I20161118001922 |
| Provider Name | Margaret T Boron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457326894 PECOS PAC ID: 7012296601 Enrollment ID: I20161123000792 |
| Provider Name | Corinne R Seville |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366800757 PECOS PAC ID: 8729368295 Enrollment ID: I20161130000364 |
| Provider Name | Jamie E White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558610279 PECOS PAC ID: 9638451115 Enrollment ID: I20170117002292 |
| Provider Name | James T Murphy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558653014 PECOS PAC ID: 7719299767 Enrollment ID: I20170118001231 |
| Provider Name | Jaimie P Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568875946 PECOS PAC ID: 3072895044 Enrollment ID: I20170127000037 |
| Provider Name | Oz Harmanli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982791505 PECOS PAC ID: 8628974193 Enrollment ID: I20170202000337 |
| Provider Name | Sehera Himani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801239587 PECOS PAC ID: 5193008662 Enrollment ID: I20170207001479 |
| Provider Name | Elise M Resch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831354133 PECOS PAC ID: 1951686187 Enrollment ID: I20170330000378 |
| Provider Name | April A Bontempo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427599349 PECOS PAC ID: 9739465436 Enrollment ID: I20170412001019 |
| Provider Name | Sarah G Wesley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750657458 PECOS PAC ID: 3577857531 Enrollment ID: I20170518000053 |
| Provider Name | William E Damsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871938381 PECOS PAC ID: 1052630407 Enrollment ID: I20170526000364 |
| Provider Name | Marybeth Holak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518067230 PECOS PAC ID: 7012953557 Enrollment ID: I20170602002174 |
| Provider Name | Stephanie L Street |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992238802 PECOS PAC ID: 4183992100 Enrollment ID: I20170616000085 |
| Provider Name | Amelia A Watkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801185996 PECOS PAC ID: 0244501930 Enrollment ID: I20170728001809 |
| Provider Name | Jennifer Andreozzi Ouellet |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184999229 PECOS PAC ID: 9335453968 Enrollment ID: I20170801000652 |
| Provider Name | Matthew D Vesely |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689013815 PECOS PAC ID: 5597993477 Enrollment ID: I20170802000317 |
| Provider Name | Oluwatosin Adeyemo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447696844 PECOS PAC ID: 5496027286 Enrollment ID: I20170814001638 |
| Provider Name | Jose I Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962950378 PECOS PAC ID: 3870869977 Enrollment ID: I20171017002629 |
| Provider Name | Katherine M Mala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245633767 PECOS PAC ID: 6608142716 Enrollment ID: I20171017003015 |
| Provider Name | Zhuoshu Deng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275050056 PECOS PAC ID: 4284900325 Enrollment ID: I20171018000391 |
| Provider Name | Kimberly Ad Kapinos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265829410 PECOS PAC ID: 4981960713 Enrollment ID: I20171113000332 |
| Provider Name | Jacqueline A Savage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962814996 PECOS PAC ID: 1951689843 Enrollment ID: I20171208001877 |
| Provider Name | Ian D Schein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386663243 PECOS PAC ID: 3971542267 Enrollment ID: I20180130002613 |
| Provider Name | Sara Schaefer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639444862 PECOS PAC ID: 3375855752 Enrollment ID: I20180227000739 |
| Provider Name | Christina L Lapierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689181471 PECOS PAC ID: 0840551735 Enrollment ID: I20180312001189 |
| Provider Name | Jamie F Marotto |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629486709 PECOS PAC ID: 3870856883 Enrollment ID: I20180404000960 |
| Provider Name | Tamika Simone Julien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306120936 PECOS PAC ID: 9436322864 Enrollment ID: I20180409000945 |
| Provider Name | Melanie Catherine Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184099889 PECOS PAC ID: 5799048286 Enrollment ID: I20180416001422 |
| Provider Name | Eileen M Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144424672 PECOS PAC ID: 7911260310 Enrollment ID: I20180418000368 |
| Provider Name | Brian S Gallant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629469093 PECOS PAC ID: 4587984216 Enrollment ID: I20180427001404 |
| Provider Name | Alicia Little |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336551589 PECOS PAC ID: 3072817840 Enrollment ID: I20180521001862 |
| Provider Name | Shel Swanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174970925 PECOS PAC ID: 9931464971 Enrollment ID: I20180523000260 |
| Provider Name | Alexandra N Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265665244 PECOS PAC ID: 1759646623 Enrollment ID: I20180523002380 |
| Provider Name | Jeffrey Dewey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619315991 PECOS PAC ID: 6002113354 Enrollment ID: I20180529002208 |
| Provider Name | Sofia Ashley Loran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023511292 PECOS PAC ID: 1254696644 Enrollment ID: I20180606002094 |
| Provider Name | Mei Xue Dong |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366718538 PECOS PAC ID: 6507172343 Enrollment ID: I20180703002145 |
| Provider Name | Anna Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942689682 PECOS PAC ID: 2567774201 Enrollment ID: I20180710002209 |
| Provider Name | Benjamin David Gallagher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578958005 PECOS PAC ID: 1658628110 Enrollment ID: I20180716002340 |
| Provider Name | Sara E Keiling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750663274 PECOS PAC ID: 3577799261 Enrollment ID: I20180719000988 |
| Provider Name | Matthew Joseph Mcconnell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003182023 PECOS PAC ID: 9436394533 Enrollment ID: I20180803001371 |
| Provider Name | Ashly Maughan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194158667 PECOS PAC ID: 1355639949 Enrollment ID: I20180813002268 |
| Provider Name | Sara H Perkins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720491905 PECOS PAC ID: 8325265622 Enrollment ID: I20180814000409 |
| Provider Name | Johnny Sun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164917621 PECOS PAC ID: 4789933284 Enrollment ID: I20180816001334 |
| Provider Name | Stephen Michael Upham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750509493 PECOS PAC ID: 0446509582 Enrollment ID: I20180822001508 |
| Provider Name | Marianna Freudzon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073931564 PECOS PAC ID: 9032421011 Enrollment ID: I20180822003537 |
| Provider Name | Danilo Been Carrasco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255740528 PECOS PAC ID: 7517213929 Enrollment ID: I20180828004220 |
| Provider Name | Michael John Couturie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760684864 PECOS PAC ID: 4082715636 Enrollment ID: I20180830003199 |
| Provider Name | Yonghee Kristina Cho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265708796 PECOS PAC ID: 4082917521 Enrollment ID: I20180905001328 |
| Provider Name | Farinaz Seifi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770989014 PECOS PAC ID: 1557611613 Enrollment ID: I20180911001952 |
| Provider Name | Sarah Rose Ardito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548610827 PECOS PAC ID: 4486905841 Enrollment ID: I20180924002685 |
| Provider Name | Lucy Wojcicki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578983722 PECOS PAC ID: 7113203449 Enrollment ID: I20181012000834 |
| Provider Name | Arti Barnes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013127455 PECOS PAC ID: 7618163866 Enrollment ID: I20181017002384 |
| Provider Name | Margo L. Fugate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568578227 PECOS PAC ID: 4284521931 Enrollment ID: I20181019000838 |
| Provider Name | Jennifer Marie Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881188191 PECOS PAC ID: 5890049563 Enrollment ID: I20181115001144 |
| Provider Name | Farah Lapommeray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083162200 PECOS PAC ID: 5193069482 Enrollment ID: I20181127001553 |
| Provider Name | Alicia M Dias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255815247 PECOS PAC ID: 8729322524 Enrollment ID: I20181205002053 |
| Provider Name | Valerie L Tomo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629517610 PECOS PAC ID: 8729324249 Enrollment ID: I20190103002897 |
| Provider Name | Grace Kindilien Moskowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265985725 PECOS PAC ID: 7315283157 Enrollment ID: I20190115002386 |
| Provider Name | Jessica Pena Pardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013436013 PECOS PAC ID: 6305184334 Enrollment ID: I20190215002376 |
| Provider Name | Jessica V Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871046250 PECOS PAC ID: 7911245725 Enrollment ID: I20190220001390 |
| Provider Name | Savitra Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740683614 PECOS PAC ID: 4981943420 Enrollment ID: I20190228001525 |
| Provider Name | Sascha James |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568500734 PECOS PAC ID: 4880721448 Enrollment ID: I20190402000680 |
| Provider Name | Megan Rogers Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760933071 PECOS PAC ID: 9032450903 Enrollment ID: I20190403001833 |
| Provider Name | Kerry-ann Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396202784 PECOS PAC ID: 3779824834 Enrollment ID: I20190418000578 |
| Provider Name | Shannon Marie Colborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821555129 PECOS PAC ID: 2466794078 Enrollment ID: I20190501001694 |
| Provider Name | Jennifer J Hodio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891258505 PECOS PAC ID: 6709119100 Enrollment ID: I20190617001526 |
| Provider Name | Erica Crawford Holahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003321951 PECOS PAC ID: 1153655113 Enrollment ID: I20190625001265 |
| Provider Name | Kaylie A Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003359860 PECOS PAC ID: 9436483203 Enrollment ID: I20190627002159 |
| Provider Name | Claire Hamilton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508252198 PECOS PAC ID: 6901185297 Enrollment ID: I20190628000830 |
| Provider Name | Adam Ludvigson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689093080 PECOS PAC ID: 6103042874 Enrollment ID: I20190729001831 |
| Provider Name | Kathryn Margaret Mckenney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649664681 PECOS PAC ID: 0648560706 Enrollment ID: I20190806003893 |
| Provider Name | Julia Stark Oricchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205495785 PECOS PAC ID: 4880921147 Enrollment ID: I20190808002264 |
| Provider Name | Samantha Acanfora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447775135 PECOS PAC ID: 2466789417 Enrollment ID: I20190813003438 |
| Provider Name | Anjali Dhanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487996716 PECOS PAC ID: 5193036168 Enrollment ID: I20190827001620 |
| Provider Name | Anna Somers Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831753045 PECOS PAC ID: 2668701343 Enrollment ID: I20190905000799 |
| Provider Name | Yu Pei Chock |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386955540 PECOS PAC ID: 3779717541 Enrollment ID: I20190906002105 |
| Provider Name | Ryan Edward Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679099170 PECOS PAC ID: 2961731161 Enrollment ID: I20190913000988 |
| Provider Name | Jessica Abellard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881906139 PECOS PAC ID: 9537438288 Enrollment ID: I20190918000839 |
| Provider Name | Blanca L. Paccha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790279172 PECOS PAC ID: 1153651047 Enrollment ID: I20190918003347 |
| Provider Name | Olivia Ann Goforth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871009563 PECOS PAC ID: 4981934734 Enrollment ID: I20190923000832 |
| Provider Name | Elizabeth Wehrli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564976 PECOS PAC ID: 0749512853 Enrollment ID: I20191022003147 |
| Provider Name | Adrian Miguel Rodriguez-targa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477076677 PECOS PAC ID: 8729310743 Enrollment ID: I20191024000997 |
| Provider Name | Jonathan Franklin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982102083 PECOS PAC ID: 9830443399 Enrollment ID: I20191030000334 |
| Provider Name | Jillian Alexandria Tuschhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386162105 PECOS PAC ID: 2860824505 Enrollment ID: I20191118001902 |
| Provider Name | Nicole Langan Maciejak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174694798 PECOS PAC ID: 5193158442 Enrollment ID: I20191127002057 |
| Provider Name | Hadrian Marlowe Holder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083093181 PECOS PAC ID: 0042597239 Enrollment ID: I20191202001557 |
| Provider Name | Rocca L Perruccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013559624 PECOS PAC ID: 5597198465 Enrollment ID: I20191206001084 |
| Provider Name | Jana Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952897233 PECOS PAC ID: 8820422405 Enrollment ID: I20200108000074 |
| Provider Name | Tamika Simone Julien |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306120936 PECOS PAC ID: 9436322864 Enrollment ID: I20200213001667 |
| Provider Name | Maryam Oshomah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153680 PECOS PAC ID: 7911334289 Enrollment ID: I20200226000910 |
| Provider Name | Lalida Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285271072 PECOS PAC ID: 8628405644 Enrollment ID: I20200303001295 |
| Provider Name | Alexis Marie Larowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801324678 PECOS PAC ID: 2264861152 Enrollment ID: I20200327001075 |
| Provider Name | Paul Bernstein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255379392 PECOS PAC ID: 7719021443 Enrollment ID: I20200504000890 |
| Provider Name | David Michael Vermette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902254915 PECOS PAC ID: 2769776442 Enrollment ID: I20200527002645 |
| Provider Name | Carolyn Anne Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184019770 PECOS PAC ID: 5496037491 Enrollment ID: I20200715002484 |
| Provider Name | Anna Eisenstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497104822 PECOS PAC ID: 1850689548 Enrollment ID: I20200715003112 |
| Provider Name | Cheyenne L Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275167959 PECOS PAC ID: 1557785367 Enrollment ID: I20200724002836 |
| Provider Name | Sameer Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205364759 PECOS PAC ID: 3173892957 Enrollment ID: I20200804000284 |
| Provider Name | Aline Cenoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700230596 PECOS PAC ID: 8224328562 Enrollment ID: I20200804002680 |
| Provider Name | Kathleen Mary Mcmahon-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679199095 PECOS PAC ID: 0042635906 Enrollment ID: I20200810001268 |
| Provider Name | Lindsey Scierka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538697727 PECOS PAC ID: 8921378969 Enrollment ID: I20200812003101 |
| Provider Name | Shanique Bingham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376925370 PECOS PAC ID: 9133426778 Enrollment ID: I20200817002215 |
| Provider Name | Ami Belmont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295183226 PECOS PAC ID: 9537454095 Enrollment ID: I20200821000408 |
| Provider Name | Hiam Naiditch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083142509 PECOS PAC ID: 6406126770 Enrollment ID: I20200903002040 |
| Provider Name | Tonya Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134738461 PECOS PAC ID: 7719305507 Enrollment ID: I20200910001398 |
| Provider Name | Isabella Yiroa Chen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851852339 PECOS PAC ID: 7911232582 Enrollment ID: I20200915001404 |
| Provider Name | Pamela Susam Schreiber |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700946613 PECOS PAC ID: 3678885084 Enrollment ID: I20200924001938 |
| Provider Name | Samantha Josephine Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487262390 PECOS PAC ID: 5092134924 Enrollment ID: I20200928000164 |
| Provider Name | Mary Higgins-chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104353481 PECOS PAC ID: 6204106321 Enrollment ID: I20201001002086 |
| Provider Name | Megan M Kuchta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164902169 PECOS PAC ID: 1254751977 Enrollment ID: I20201020000345 |
| Provider Name | Christian Tiffany Brockenberry |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730407115 PECOS PAC ID: 0244542652 Enrollment ID: I20201020000976 |
| Provider Name | Ifeoma Justina Nwokoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134662174 PECOS PAC ID: 8123367166 Enrollment ID: I20201020001279 |
| Provider Name | Mia Sharee Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649883943 PECOS PAC ID: 7517387830 Enrollment ID: I20201026001180 |
| Provider Name | Amed Logrono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942737119 PECOS PAC ID: 1850661893 Enrollment ID: I20201028000750 |
| Provider Name | Kathleen Frame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033490461 PECOS PAC ID: 6305096439 Enrollment ID: I20201029000875 |
| Provider Name | Jamil Ayanna Harp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619149515 PECOS PAC ID: 4082774070 Enrollment ID: I20201130001008 |
| Provider Name | Ryan Allen Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366062622 PECOS PAC ID: 8426469214 Enrollment ID: I20201130002678 |
| Provider Name | Melina Catherine Proto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801405840 PECOS PAC ID: 3173935418 Enrollment ID: I20201210002028 |
| Provider Name | Robert A Linden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841283736 PECOS PAC ID: 5890888689 Enrollment ID: I20201218001307 |
| Provider Name | Francisco Javier Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316217698 PECOS PAC ID: 9133376783 Enrollment ID: I20201223002341 |
| Provider Name | Eulah Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134735210 PECOS PAC ID: 3072926617 Enrollment ID: I20201229000308 |
| Provider Name | Terri Huynh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801188040 PECOS PAC ID: 7719291590 Enrollment ID: I20210203000732 |
| Provider Name | Grace Marie Lessard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528677234 PECOS PAC ID: 0941615678 Enrollment ID: I20210210002253 |
| Provider Name | Gabriella Bedarida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457685653 PECOS PAC ID: 1254747454 Enrollment ID: I20210315000575 |
| Provider Name | Naa-dei Kotey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659786135 PECOS PAC ID: 5496026916 Enrollment ID: I20210318002702 |
| Provider Name | Kenneth Adair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790287159 PECOS PAC ID: 6901213974 Enrollment ID: I20210319000275 |
| Provider Name | Sarah Bowen Lipkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366842635 PECOS PAC ID: 9234546698 Enrollment ID: I20210331001285 |
| Provider Name | Tabia Thompson-lamothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932716628 PECOS PAC ID: 2860809142 Enrollment ID: I20210402000891 |
| Provider Name | Rebecca Slevin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265097471 PECOS PAC ID: 7214336320 Enrollment ID: I20210521001977 |
| Provider Name | Julian Arias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942809728 PECOS PAC ID: 1557760675 Enrollment ID: I20210521002160 |
| Provider Name | Kevin J Barnum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285124438 PECOS PAC ID: 1052666526 Enrollment ID: I20210526002380 |
| Provider Name | Monique Andrea Rainford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528030228 PECOS PAC ID: 6103868708 Enrollment ID: I20210528000149 |
| Provider Name | Aidan S Milner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336639863 PECOS PAC ID: 3577819002 Enrollment ID: I20210602002172 |
| Provider Name | Taylor Catherine Rispoli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174004758 PECOS PAC ID: 0143620492 Enrollment ID: I20210608003678 |
| Provider Name | Sofia Vi Noori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235662354 PECOS PAC ID: 1355614215 Enrollment ID: I20210609003409 |
| Provider Name | Firas Yousif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376997007 PECOS PAC ID: 6901144161 Enrollment ID: I20210614000541 |
| Provider Name | Daisy Ileana Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134601750 PECOS PAC ID: 3274934724 Enrollment ID: I20210622002466 |
| Provider Name | Jacob D Siegel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912430638 PECOS PAC ID: 9830436724 Enrollment ID: I20210624002242 |
| Provider Name | Avinainder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811492408 PECOS PAC ID: 7012265531 Enrollment ID: I20210701003711 |
| Provider Name | Shawn Yeow Chong Ong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154778512 PECOS PAC ID: 7012201890 Enrollment ID: I20210706001692 |
| Provider Name | Olivia Davis Piper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316521891 PECOS PAC ID: 2567864366 Enrollment ID: I20210716000380 |
| Provider Name | Sara Khalife |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104370030 PECOS PAC ID: 4385047208 Enrollment ID: I20210729000574 |
| Provider Name | Varshitha Prakash Rao Thanikonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841789203 PECOS PAC ID: 8022365832 Enrollment ID: I20210730001887 |
| Provider Name | Whitney Soble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245689819 PECOS PAC ID: 3678853751 Enrollment ID: I20210802001435 |
| Provider Name | Christine Erin Krueger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679005763 PECOS PAC ID: 6204104227 Enrollment ID: I20210805000467 |
| Provider Name | Margaret M Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366964173 PECOS PAC ID: 1759615040 Enrollment ID: I20210805000837 |
| Provider Name | Emily Rose Romeo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578136446 PECOS PAC ID: 8022412519 Enrollment ID: I20210805001095 |
| Provider Name | Benjamin Hall Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972775039 PECOS PAC ID: 9335332428 Enrollment ID: I20210806000458 |
| Provider Name | Catherine Jean Elizabeth Bernardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336813898 PECOS PAC ID: 4082019658 Enrollment ID: I20210819001223 |
| Provider Name | Ayesha Muquim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326445487 PECOS PAC ID: 5496056970 Enrollment ID: I20210819002100 |
| Provider Name | Nan Ring |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083063549 PECOS PAC ID: 8022302801 Enrollment ID: I20210830001139 |
| Provider Name | Kathryn Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083389738 PECOS PAC ID: 0244636025 Enrollment ID: I20210901003876 |
| Provider Name | Naseem Obaydou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306416615 PECOS PAC ID: 9032515101 Enrollment ID: I20210915001655 |
| Provider Name | Samuel Min Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083104491 PECOS PAC ID: 3072860717 Enrollment ID: I20210915002172 |
| Provider Name | Rowan Marguerite O'connell-barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906890 PECOS PAC ID: 8123425212 Enrollment ID: I20210915003134 |
| Provider Name | Melissa Diane Patao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134791742 PECOS PAC ID: 4688071707 Enrollment ID: I20210916000698 |
| Provider Name | Katelyn Madeline Wirtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083282891 PECOS PAC ID: 1759788789 Enrollment ID: I20210917001928 |
| Provider Name | Maimoona B Haffees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265109763 PECOS PAC ID: 3870991938 Enrollment ID: I20211005000853 |
| Provider Name | Nancy Ringel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316350473 PECOS PAC ID: 0648678607 Enrollment ID: I20211006001923 |
| Provider Name | Robert Michel Rock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689161333 PECOS PAC ID: 7214335892 Enrollment ID: I20211012002549 |
| Provider Name | Channon Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902576739 PECOS PAC ID: 9032517487 Enrollment ID: I20211015000024 |
| Provider Name | Christina Marie Bonnet |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245803519 PECOS PAC ID: 7517365976 Enrollment ID: I20211015000300 |
| Provider Name | Rachel L Gima |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538732300 PECOS PAC ID: 3173911088 Enrollment ID: I20211026002894 |
| Provider Name | Justin Aaron Simmons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336712850 PECOS PAC ID: 3476942707 Enrollment ID: I20211108001822 |
| Provider Name | Kiara Stephanie Barbieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396361770 PECOS PAC ID: 3375933807 Enrollment ID: I20211124000261 |
| Provider Name | Bryan Patrick Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922668375 PECOS PAC ID: 1951791359 Enrollment ID: I20211129000971 |
| Provider Name | Matthew Paul Staniewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770125734 PECOS PAC ID: 1153711130 Enrollment ID: I20211206002570 |
| Provider Name | Natalie Alexandria Claude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992257224 PECOS PAC ID: 3779973672 Enrollment ID: I20211208002581 |
| Provider Name | Karly Regina Keating |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316592751 PECOS PAC ID: 2860883014 Enrollment ID: I20211222001212 |
| Provider Name | Katarzyna Mariak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366114126 PECOS PAC ID: 9638560451 Enrollment ID: I20220104002711 |
| Provider Name | Tiffany Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003458928 PECOS PAC ID: 6709277429 Enrollment ID: I20220106001011 |
| Provider Name | Sara Ruth Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841941622 PECOS PAC ID: 6406249291 Enrollment ID: I20220129000021 |
| Provider Name | Doris Ifeyinwa Uwosomah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578148268 PECOS PAC ID: 8628461704 Enrollment ID: I20220214001220 |
| Provider Name | Ashley Elusma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447878855 PECOS PAC ID: 8921492893 Enrollment ID: I20220219000030 |
| Provider Name | Meherana S Vesali |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245644053 PECOS PAC ID: 9133427081 Enrollment ID: I20220307001775 |
| Provider Name | Tirana O'banyoun Organ |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417232109 PECOS PAC ID: 3274779863 Enrollment ID: I20220324001886 |
| Provider Name | Karen Bermudez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457708646 PECOS PAC ID: 7113313081 Enrollment ID: I20220331002214 |
| Provider Name | Oluwadamilola Comfort Davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932563343 PECOS PAC ID: 6406243443 Enrollment ID: I20220421002418 |
| Provider Name | Jeffrey Delacruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699415489 PECOS PAC ID: 0941697452 Enrollment ID: I20220503000327 |
| Provider Name | Elizabeth Talbot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225654056 PECOS PAC ID: 2264819283 Enrollment ID: I20220513000076 |
| Provider Name | Michael Andrew Fuery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427614999 PECOS PAC ID: 8224362074 Enrollment ID: I20220603001928 |
| Provider Name | Alissa Stephanie Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548825326 PECOS PAC ID: 0840526141 Enrollment ID: I20220606002061 |
| Provider Name | Nathan Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215592092 PECOS PAC ID: 7113251042 Enrollment ID: I20220613002901 |
| Provider Name | Zain Ua Sobani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275975351 PECOS PAC ID: 1052669181 Enrollment ID: I20220614003109 |
| Provider Name | Mary Escherich Laird |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245734219 PECOS PAC ID: 3577898543 Enrollment ID: I20220616002372 |
| Provider Name | August William Lindmark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578128195 PECOS PAC ID: 6002141827 Enrollment ID: I20220617001943 |
| Provider Name | Joshua Maxwell Onyango |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851957906 PECOS PAC ID: 7113252206 Enrollment ID: I20220621000600 |
| Provider Name | Reshma Ramachandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518492966 PECOS PAC ID: 3577805910 Enrollment ID: I20220624002289 |
| Provider Name | Roshni Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629633425 PECOS PAC ID: 0244564029 Enrollment ID: I20220705002684 |
| Provider Name | Shenel Marcellus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932765716 PECOS PAC ID: 9638550148 Enrollment ID: I20220714003147 |
| Provider Name | Ann A Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336704204 PECOS PAC ID: 2860726601 Enrollment ID: I20220728000963 |
| Provider Name | Raksha Madhavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629634704 PECOS PAC ID: 4880920164 Enrollment ID: I20220728002351 |
| Provider Name | Hana Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558894816 PECOS PAC ID: 9436421690 Enrollment ID: I20220729000652 |
| Provider Name | Christina Dimopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053976738 PECOS PAC ID: 3678807500 Enrollment ID: I20220801000784 |
| Provider Name | Clara Ki Lengacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750011482 PECOS PAC ID: 4789066994 Enrollment ID: I20220804002611 |
| Provider Name | Joanne Sheu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619363215 PECOS PAC ID: 2062846314 Enrollment ID: I20220816003622 |
| Provider Name | David I Rosenthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972730653 PECOS PAC ID: 6800034745 Enrollment ID: I20220824002243 |
| Provider Name | Jessica B Herms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043882798 PECOS PAC ID: 6204210271 Enrollment ID: I20220825002176 |
| Provider Name | Iman Berrahou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285130112 PECOS PAC ID: 1052726585 Enrollment ID: I20220901000219 |
| Provider Name | Jessica Ariel Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538897558 PECOS PAC ID: 3678958709 Enrollment ID: I20220909002663 |
| Provider Name | Belinda Joyce Gaines |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447749197 PECOS PAC ID: 4486078656 Enrollment ID: I20221004001349 |
| Provider Name | Dawn Marie Hatchett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023785912 PECOS PAC ID: 6103202684 Enrollment ID: I20221006002119 |
| Provider Name | Brianna Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134709140 PECOS PAC ID: 0547646960 Enrollment ID: I20221007000575 |
| Provider Name | Kayla Imperatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780309872 PECOS PAC ID: 0749658805 Enrollment ID: I20221121001675 |
| Provider Name | Jessica Marie Nieves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801530670 PECOS PAC ID: 2365811460 Enrollment ID: I20221213000406 |
| Provider Name | Jeniece Geronimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053031310 PECOS PAC ID: 3971972787 Enrollment ID: I20221216000789 |
| Provider Name | Vanessa Caphanac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457931420 PECOS PAC ID: 8527438795 Enrollment ID: I20230104001066 |
| Provider Name | Gabriela Canches |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114637733 PECOS PAC ID: 2264802339 Enrollment ID: I20230105002804 |
| Provider Name | Tiffany L Hope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053923797 PECOS PAC ID: 9234500836 Enrollment ID: I20230118001820 |
| Provider Name | Christa Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952656639 PECOS PAC ID: 4284881368 Enrollment ID: I20230206002105 |
| Provider Name | Rebecca Anne Batchelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114694999 PECOS PAC ID: 1456723428 Enrollment ID: I20230221002046 |
| Provider Name | Sierra Elizabeth Gallagi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487271540 PECOS PAC ID: 3971977653 Enrollment ID: I20230320002353 |
| Provider Name | Uchenna Kalu Ogbaa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346950524 PECOS PAC ID: 6305211061 Enrollment ID: I20230411001252 |
| Provider Name | Rosemond Y. Ankrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700453685 PECOS PAC ID: 0547635021 Enrollment ID: I20230414001455 |
| Provider Name | Sara Hungerford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407473432 PECOS PAC ID: 6709242985 Enrollment ID: I20230512001131 |
| Provider Name | Nathaniel Edward Auyeung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396415048 PECOS PAC ID: 2365808235 Enrollment ID: I20230518001875 |
| Provider Name | Amy Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376233296 PECOS PAC ID: 7618173964 Enrollment ID: I20230530001397 |
| Provider Name | Koeun Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508495904 PECOS PAC ID: 7911329412 Enrollment ID: I20230531000915 |
| Provider Name | Jeffrey Craig Mazique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902905300 PECOS PAC ID: 5193893279 Enrollment ID: I20230614003517 |
| Provider Name | Hinette Shelby Rosario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346805173 PECOS PAC ID: 3274867171 Enrollment ID: I20230705003390 |
| Provider Name | Alexandra Nicole Schwann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992334155 PECOS PAC ID: 4587087820 Enrollment ID: I20230706000559 |
| Provider Name | Katherine Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598384240 PECOS PAC ID: 1052734449 Enrollment ID: I20230707002843 |
| Provider Name | Margaret Johnston |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669932406 PECOS PAC ID: 1153655139 Enrollment ID: I20230707003037 |
| Provider Name | Carolyn Loy Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598384364 PECOS PAC ID: 2961825351 Enrollment ID: I20230720002742 |
| Provider Name | Maisie Alie Orsillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083233639 PECOS PAC ID: 7214350107 Enrollment ID: I20230720003069 |
| Provider Name | Hannah E Dunn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033897699 PECOS PAC ID: 9436510195 Enrollment ID: I20230728000679 |
| Provider Name | Necia Mya Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477172880 PECOS PAC ID: 5496178758 Enrollment ID: I20230728001793 |
| Provider Name | Anthony Fitzgerald Paredes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093330961 PECOS PAC ID: 6709248289 Enrollment ID: I20230815003768 |
| Provider Name | Cori Anne Perruzzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447972401 PECOS PAC ID: 9638531908 Enrollment ID: I20230817003729 |
| Provider Name | Nadean S Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609446384 PECOS PAC ID: 6709248875 Enrollment ID: I20230822001669 |
| Provider Name | Ada J Udaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326729146 PECOS PAC ID: 2163885138 Enrollment ID: I20230824001747 |
| Provider Name | Elizabeth Dee Brogdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659052694 PECOS PAC ID: 7416310313 Enrollment ID: I20230824003608 |
| Provider Name | Lucila Kaisin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417413998 PECOS PAC ID: 8224491659 Enrollment ID: I20230831003136 |
| Provider Name | Robert Raul Stavert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487881371 PECOS PAC ID: 2567698640 Enrollment ID: I20230911003623 |
| Provider Name | Amie A Melillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790492874 PECOS PAC ID: 3072967710 Enrollment ID: I20230928001387 |
| Provider Name | Elizabeth Miller Guyer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730969395 PECOS PAC ID: 1951750058 Enrollment ID: I20231214002829 |
| Provider Name | Suneel Mahesh Agerwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902339658 PECOS PAC ID: 1153660444 Enrollment ID: I20231221002183 |
| Provider Name | Kimberley Blake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922771765 PECOS PAC ID: 9638521958 Enrollment ID: I20240122004091 |
| Provider Name | Shauna Bouteiller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700457926 PECOS PAC ID: 4789036930 Enrollment ID: I20240123004418 |
| Provider Name | Justin Richard Macgregor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962851238 PECOS PAC ID: 5597118679 Enrollment ID: I20240124004181 |
| Provider Name | Terry A Mceachnie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790988707 PECOS PAC ID: 9638522725 Enrollment ID: I20240124004358 |
| Provider Name | Erin Joan Marino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265659379 PECOS PAC ID: 5193140408 Enrollment ID: I20240124004410 |
| Provider Name | Rebecca A Plover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063052314 PECOS PAC ID: 9335592336 Enrollment ID: I20240125003659 |
| Provider Name | Alnita Terese Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205233087 PECOS PAC ID: 7416300439 Enrollment ID: I20240125004550 |
| Provider Name | Greta Colon-vargas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811305535 PECOS PAC ID: 0143673418 Enrollment ID: I20240202001114 |
| Provider Name | Lauren Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871900258 PECOS PAC ID: 3779936042 Enrollment ID: I20240202001152 |
| Provider Name | Nicole Danielle Morra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578197141 PECOS PAC ID: 1951754233 Enrollment ID: I20240202001604 |
| Provider Name | Jessica B Sinchak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841340171 PECOS PAC ID: 6901259290 Enrollment ID: I20240202002302 |
| Provider Name | Christine E Duffy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124432331 PECOS PAC ID: 1456794759 Enrollment ID: I20240202002719 |
| Provider Name | Marissa R Gagliardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871909945 PECOS PAC ID: 9537502844 Enrollment ID: I20240202003141 |
| Provider Name | Saprina Gee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720427255 PECOS PAC ID: 5991148207 Enrollment ID: I20240202003158 |
| Provider Name | Lianne Galella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992442933 PECOS PAC ID: 6800239112 Enrollment ID: I20240202003165 |
| Provider Name | Jordan Ann Hayden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134717499 PECOS PAC ID: 0345683652 Enrollment ID: I20240202003183 |
| Provider Name | Sarah Kate E Karr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578124566 PECOS PAC ID: 1153764469 Enrollment ID: I20240202003200 |
| Provider Name | Alexandra Sperrazza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568132215 PECOS PAC ID: 6608219910 Enrollment ID: I20240202003218 |
| Provider Name | Kimberly E Youschak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083009013 PECOS PAC ID: 3274958582 Enrollment ID: I20240202003234 |
| Provider Name | Ana S Tanko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821459603 PECOS PAC ID: 7315380623 Enrollment ID: I20240202003248 |
| Provider Name | Kayla Joann Toole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073100442 PECOS PAC ID: 4688017999 Enrollment ID: I20240202003272 |
| Provider Name | Gabrielle B Attolino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376203596 PECOS PAC ID: 2961845904 Enrollment ID: I20240207001321 |
| Provider Name | Stephanie M Antonellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346714482 PECOS PAC ID: 5991148710 Enrollment ID: I20240208003463 |
| Provider Name | Sean M Mansfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215417407 PECOS PAC ID: 5890138473 Enrollment ID: I20240212000213 |
| Provider Name | Jomary Sepulveda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174974471 PECOS PAC ID: 8325481898 Enrollment ID: I20240212003418 |
| Provider Name | Emily Lynn Miko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760988380 PECOS PAC ID: 0648613125 Enrollment ID: I20240212003624 |
| Provider Name | Ashley Johnson Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467813600 PECOS PAC ID: 2961845458 Enrollment ID: I20240212003826 |
| Provider Name | Soralis Camacho-irizarry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124308994 PECOS PAC ID: 8325482680 Enrollment ID: I20240215000355 |
| Provider Name | Julie A Ryder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174728141 PECOS PAC ID: 2567807977 Enrollment ID: I20240226000912 |
| Provider Name | Rebecca L Connelly |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033689989 PECOS PAC ID: 3072958412 Enrollment ID: I20240226002035 |
| Provider Name | Marcus Maceo Tart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194480350 PECOS PAC ID: 4981049327 Enrollment ID: I20240226002041 |
| Provider Name | Alexis Marie Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588363097 PECOS PAC ID: 9830534171 Enrollment ID: I20240227001676 |
| Provider Name | Kaitlyn Romano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518733666 PECOS PAC ID: 7113362468 Enrollment ID: I20240227002019 |
| Provider Name | Brandon Conor Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467110767 PECOS PAC ID: 8729423074 Enrollment ID: I20240227002149 |
| Provider Name | Julie Ann Hutchinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497977466 PECOS PAC ID: 2365887106 Enrollment ID: I20240301003376 |
| Provider Name | Jomary Sepulveda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174974471 PECOS PAC ID: 8325481898 Enrollment ID: I20240304000427 |
| Provider Name | Mark R Boroski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841672821 PECOS PAC ID: 0840636114 Enrollment ID: I20240308001129 |
| Provider Name | Kristine Leslie Dimartino |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649801184 PECOS PAC ID: 1557707718 Enrollment ID: I20240311000329 |
| Provider Name | Christopher Douglas Martula |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720299829 PECOS PAC ID: 9335585553 Enrollment ID: I20240311002516 |
| Provider Name | Jennifer R Searles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487880217 PECOS PAC ID: 2365742756 Enrollment ID: I20240311002672 |
| Provider Name | Sherlyne Dieudonne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639400781 PECOS PAC ID: 7416393566 Enrollment ID: I20240311003775 |
| Provider Name | Jasmeet Kaur |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740417377 PECOS PAC ID: 8527404458 Enrollment ID: I20240313002564 |
| Provider Name | Elizabeth Gonzalez-torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942962204 PECOS PAC ID: 8325487085 Enrollment ID: I20240415003243 |
| Provider Name | Matthew W. C. Stayner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578293247 PECOS PAC ID: 1355780883 Enrollment ID: I20240417002020 |
| Provider Name | Christina A Andrzejewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750090197 PECOS PAC ID: 6204275613 Enrollment ID: I20240418001468 |
| Provider Name | Danielle Khorsandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295010767 PECOS PAC ID: 4082054671 Enrollment ID: I20240430001601 |
| Provider Name | Maryelizabeth Farrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437429974 PECOS PAC ID: 0446168090 Enrollment ID: I20240502003509 |
| Provider Name | Ransford Lloyd Waite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508549023 PECOS PAC ID: 5496197477 Enrollment ID: I20240522001149 |
| Provider Name | Phoebe Costello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831811942 PECOS PAC ID: 0840732723 Enrollment ID: I20240606002649 |
| Provider Name | Timothy Ryan Clapes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497348551 PECOS PAC ID: 5890238174 Enrollment ID: I20240614000810 |
Clifford Beers Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 Edwards St, New Haven, CT 06511 Phone: 203-772-1270 | |
Integrated Wellness Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 446a Blake Street, Suite 200, New Haven, CT 06515 Phone: 203-387-9400 Fax: 888-772-2160 | |
Ellis Psychotherapy, Training & Consultation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Farnham Ave Apt 1, New Haven, CT 06515 Phone: 475-441-4082 | |
Lacuna Autism Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 Orange St, New Haven, CT 06510 Phone: 888-611-0870 Fax: 888-714-4996 | |
Hospital Of Saint Raphael Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1294 Chapel St, 2nd Floor, New Haven, CT 06511 Phone: 203-784-8750 | |
Psychiatric Care Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Park St, Suite 1g, New Haven, CT 06511 Phone: 203-562-0223 Fax: 203-777-4226 | |
Synaptic Soulutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 W Prospect St, New Haven, CT 06515 Phone: 475-441-4305 |